Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

SHIRLEY CHAPMAN SHOLOM HOME EAST

SAINT PAUL, MN · 118 certified beds · Last Life Safety survey April 17, 2025

CMS Certification Number 245411 · first certified February 1987

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

10
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
6
Inspection & testing records
Of the citations on file

Position within MN

10 citations — more than 38% of the 338 certified nursing homes in MN. Compared within MN rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 0 citations; the earlier surveys in the window averaged 5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (March 2026 to June 2026), and past the point by which nine in ten MN facilities have been surveyed. This facility’s last Life Safety survey was April 2025. Facilities in MN are typically surveyed 11–14 months after the last one (median 13), measured over 613 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

Physical environment (health survey)

5 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 10 Life Safety citations above. The Physical Environment Index

  • F-0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in MN, and nationally. Surveyors differ markedly between states, so the MN figure is the meaningful one.

This facility10MN median12National median11
Citations on file over three years, compared
MeasureCitations
This facility10
Median facility in MN12
Median facility nationally11

Survey history

Citations at each Life Safety survey
12023-0392024-0602025-04
Citations at each Life Safety survey
Survey dateCitations
March 30, 20231
June 13, 20249
April 17, 20250

Most-cited tags

Most-cited tags at this facility
K-07121K-03451K-02221K-05111K-09231K-03241K-05411K-09141
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0712Have simulated fire drills held at unexpected times.12024-06-13
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12023-03-30
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.12024-06-13
K-0511Have properly installed electrical wiring and gas equipment.12024-06-13
K-0923Have proper medical gas storage and administration areas.12024-06-13
K-0324Provide properly protected cooking facilities.12024-06-13
K-0541Install properly constructed and protected linen or trash chutes.12024-06-13
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.12024-06-13

What the citations cover

Citations by CMS category
  • Gas, Vacuum, and Electrical Systems Deficiencies 4
  • Smoke Deficiencies 2
  • Services Deficiencies 2
  • Miscellaneous Deficiencies 1
  • Other 1
Citations by CMS category
CategoryCitations
Gas, Vacuum, and Electrical Systems Deficiencies4
Smoke Deficiencies2
Services Deficiencies2
Miscellaneous Deficiencies1
Egress Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

June 13, 2024 — 9 citations

Citations issued on June 13, 2024
TagWhat the surveyor checksStatus
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (July 10, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (July 10, 2024)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (July 21, 2024)
K-0541Install properly constructed and protected linen or trash chutes.Deficient, Provider has date of correction (July 21, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (July 21, 2024)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (July 21, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (July 21, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (July 21, 2024)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (July 21, 2024)

March 30, 2023 — 1 citation

Citations issued on March 30, 2023
TagWhat the surveyor checksStatus
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (May 3, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.